Provider Demographics
NPI:1477684470
Name:CARROLL COUNTY AUDITOR
Entity Type:Organization
Organization Name:CARROLL COUNTY AUDITOR
Other - Org Name:CARROLL COUNTY GENERAL HEALTH DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-627-4866
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:301 MOODY AVE SW
Mailing Address - City:CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:44615
Mailing Address - Country:US
Mailing Address - Phone:330-627-4866
Mailing Address - Fax:330-627-3040
Practice Address - Street 1:301 MOODY AVE SW
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:44615
Practice Address - Country:US
Practice Address - Phone:330-627-4866
Practice Address - Fax:330-627-3040
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARROLL COUNTY AUDITOR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-08
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0980345Medicaid
OH184521Medicaid
OH185687Medicaid
OH733886Medicaid
OH0980345Medicaid
OHFV91381Medicare PIN